“Hospitalism” Isn’t the Same as HM
If hospitalists are doctors who provide care to hospitalized patients, is the correct term for the care they provide “hospitalism”?
P. Doherty, DO
Fort Collins, Colo.
Dr. Hospitalist responds: I am of the belief that the correct term for the general medical care of hospitalized patients is “hospital medicine.” Hospitalism is a term I’ve heard used interchangeably with hospital medicine, but I do not believe it accurately describes the field of medicine practiced by hospitalists.
The dictionary, and online resources like Wikipedia, describes “hospitalism” as a medical condition suffered by children who were “institutionalized for long periods and deprived of substitute maternal care.” This term was first described in the late 1800s and popularized by psychotherapist Rene Spitz in 1945.1
Lee Goldman, MD, and Robert Wachter, MD, FHM, coined the term “hospitalist” in a landmark 1996 New England Journal of Medicine article. Dr. Goldman describes hospitalism as “[a] variety of iatrogenic maladies that were acquired by hospitalized patients and that often were more deadly than the admitting condition itself.” In fact, he described hospitalists as “a cure for hospitalism.”2
I had never heard of the term hospitalism and did not understand its definition before I became a hospitalist. As a hospitalist, I prefer to practice hospital medicine.
Don’t Give Up on Hand-Hygiene Compliance
I am the director of a hospitalist group. How do I convince my colleagues to wash their hands?
B. Hunter, MD
Dr. Hospitalist responds: Dr. Hunter, don’t feel discouraged. You are not alone. Appropriate hand hygiene in the hospital setting is a difficult nut to crack. In some ways, I liken hand-washing noncompliance to smoking or eating junk food: We know that it is bad for us. None of us dispute the facts. There is plenty of research to support the fact that smoking causes chronic obstructive pulmonary disease and lung cancer; junk food causes obesity, which leads to heart disease and other ailments. But the truth of the matter is that many of us have a hard time resisting cigarettes and greasy burgers.
Hand hygiene is no different. It’s habitual. If it is not part of your routine, cleaning your hands before and after you enter a patient’s hospital room is time-consuming. But the truth remains: There is so much at stake.